<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <fieldset disabled>
        <div class="form-group">
            <label class="control-label col-xs-12 col-sm-2">{:__('Title')}:</label>
            <div class="col-xs-12 col-sm-8">
                <input id="c-title" data-rule="required" class="form-control form-control" name="row[title]" type="text" value="{$row.title}">
            </div>
        </div>
        <div class="form-group">
            <label class="control-label col-xs-12 col-sm-2">{:__('Image')}:</label>
            <div class="col-xs-12 col-sm-8">
                <div class="input-group">
                    <input id="c-image" data-rule="required" class="form-control form-control" size="50" name="row[image]" type="text" value="{$row.image}">
                    <div class="input-group-addon no-border no-padding">
                        <span><button type="button" id="plupload-image" class="btn btn-danger plupload" data-input-id="c-image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="false" data-preview-id="p-image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                        <span><button type="button" id="fachoose-image" class="btn btn-primary fachoose" data-input-id="c-image" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
                    </div>
                    <span class="msg-box n-right" for="c-image"></span>
                </div>
                <ul class="row list-inline plupload-preview" id="p-image"></ul>
            </div>
        </div>
        <div class="form-group">
            <label class="control-label col-xs-12 col-sm-2">{:__('Ticker')}:</label>
            <div class="col-xs-12 col-sm-8">
                <input id="c-ticker" data-rule="required" class="form-control  c-ticker" name="row[ticker]" type="text" value="{$row.ticker}">
                <button type="button" class="btn btn-danger create-ticker" style="margin-top: 10px;" data-url="{:Url('create_ticker')}">{:__('Create ticker')}</button>
            </div>
        </div>
        <div class="form-group">
            <label class="control-label col-xs-12 col-sm-2">{:__('Remark')}:</label>
            <div class="col-xs-12 col-sm-8">
                <textarea id="c-remark" class="form-control form-control" name="row[remark]" cols="5">{$row.remark}</textarea>
            </div>
        </div>
        <div class="form-group">
            <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
            <div class="col-xs-12 col-sm-8">
                {:build_radios('row[status]', [1=>__('Hidden'), 2 => __('Normal')], $row['status'])}
            </div>
        </div>
        <div class="form-group layer-footer">
            <label class="control-label col-xs-12 col-sm-2"></label>
            <div class="col-xs-12 col-sm-8">
                <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
                <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
            </div>
        </div>
    </fieldset>
</form>
